Coincident with the appreciation of the value of experimental methods,
one would have expected attempts to produce scurvy in animals. The
disorder had been recognized for a great many years, the fact that it
was occasioned by a dietary deficient in fresh food was widely known, so
that it would seem natural for clinicians or laboratory workers to have
tried to induce the disease in animals by a similar restricted diet.
There is, however, no suggestion of such an experiment in the voluminous
literature on scurvy. The explanation of the neglect of an experimental
study of scurvy appears to be that this was considered a disorder which
required little investigation--its etiology, its prevention and its cure
seemed thoroughly understood. It is strange that the mere fact that such
a severe disturbance responded, as if by magic, to the administration of
simple foodstuffs should not have awakened curiosity as well as wonder,
and stimulated inquiry into the nature and significance of the curative
agent.
In 1903 Bolle published the results of experiments on guinea-pigs which
had been fed for various periods on raw or sterilized milk. He reported
that the animals developed a marked fragility of the bones, varying in
intensity in proportion to the degree of heat to which the milk had been
subjected. These changes Bolle interpreted as typical scurvy, but it is
difficult to decide whether the disorder was actually true scurvy, in
view of the indefinite description of the bone lesions.
Bartenstein repeated Bolle's work and described in detail the changes in
the bones. From his work we learned that it was of little moment whether
the animals were fed raw or sterilized milk--their nutrition failed
within about the same length of time, and they died within a month. The
chief pathologic change was a marked fragility of the bones, leading to
spontaneous fractures, or to breaking of the bones in the course of
ordinary manipulation. Bartenstein described the disorder as "beginning
with the degeneration of the marrow, and secondarily leading to an
atrophy of the bone due to increased absorption and deficient new
formation of bone, especially at the endochondral lines of ossification.
As the result of the osteoporosis, spontaneous fractures occur without
noticeable hemorrhagic diathesis." He found a deficiency of calcium in
the bones of animals suffering from even a mild degree of this disorder.
Hart and Lessing are of the opinion that we cannot accept Bartenstein's
diagnosis of scurvy. They compare this disorder to that described by
Ziegler as "osteotabes infantum," in which there is a more or less
pronounced "jelly marrow" which has replaced the lymphoid cells in
scattered areas. They sum up their analysis of the question with the
statement that "the primary marrow changes in the diaphysis, the marked
lacunar absorption by osteoclasts, the absence of subperiosteal
hemorrhages, do not indicate typical scurvy." Schmorl produced
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